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首页> 外文期刊>Wilderness & environmental medicine >Marked Hypofibrinogenemia and Gastrointestinal Bleeding After Copperhead (Agkistrodon contortrix) Envenomation
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Marked Hypofibrinogenemia and Gastrointestinal Bleeding After Copperhead (Agkistrodon contortrix) Envenomation

机译：铜斑蛇毒（蛇腹蛇）麻醉后明显的低纤维蛋白原性血症和胃肠道出血

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摘要

Compared with other crotaline envenomations, copperhead envenomations have historically been reported as having less severe hematologic venom effects and rarely hemorrhage. We report a case of clinically significant gastrointestinal bleeding after a copperhead (Agkistrodon contortrix) envenomation. A 52-year-old woman with a history of systemic lupus erythematosus was bitten on her right medial ankle after which hypofibrinogenemia and hematochezia developed. The symptoms resolved after repeated administration of Crotalidae polyvalent immune Fab (ovine) antivenom. She was discharged without further complications 2 days later. Although copperhead envenomations are classically considered less severe than other crotaline envenomations, this case demonstrates the potential of the venom to produce clinically significant hematologic effects.
机译：与其他角鲨胺毒化相比，历史上已报道铜头蛇毒对血液的毒液作用较轻，出血很少。我们报告一例在铜头（Agkistrodon contortrix）麻醉后发生临床上明显的胃肠道出血。一名52岁的女性，患有系统性红斑狼疮，其右内侧踝部被咬伤，随后发生了低纤维蛋白原性血症和便血。重复施用猪屎豆科多价免疫Fab（绵羊）抗蛇毒血清后症状消失。 2天后她出院，没有进一步的并发症。尽管传统上认为铜头蛇毒的毒性不及其他芥末油毒严重，但该病例证明了该蛇毒具有产生临床上显着的血液学作用的潜力。

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